| NPI | 1396778650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN FOLZ Chief Operating Officer 859-957-1080 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 23750) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2007-10-29 |